HomeMy WebLinkAboutBuilding Permit 03-0387
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please.!\'Pe or orint and sign at bottom)
ADDRESS
White File
Pink City
Yellow Applicanl
3-d-./-D 3
I PERMIT NO. 03 -03 fll I
/'53?t,
F) 'sA
Pa; JV1- R cL
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LEGAL DESCRIPTION (office use only) _I
LOT/{)BLOCK I ADDITION <-t,J1~ 0l;Vr/ ~~';)5-0I(f-tJlo-q
OWNER . . ,
(Name) ]};/lIWrJlle 1</'*'61
(Address) )(;1./3 Sit~ &.<; ./J,/~:ei//t;~,
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
&/:2-7117-/.277 ()h J
qD--tlL./4 -;?ljl~ (1+>
Jt:/1
gy:;.??
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level F~nish~ireplace DAddition DAlteration
o Misc. :]:!v'-I-er, '0 r 1? rn cl LIfl.N~FJh COST IV AWE (excluding land) $
I hereby certify that I have furnished information on thisapPTIcation which is to the best of my knowledge true and correct I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u.71P , the I"-I'-.~j to perfonrJ€eded inspections. ~ l A
X "'ltIlvt~""<-L ,Ii~~ 3p-l ~;;
Si~ature Contractor's License No. . Date
Dutility Connection
,I
I Permit Valuation ~/S:fJO(), 00 Park Support Fee # $
I Permit Fee $ ;;. 5/. .;1.5 SAC # $ -
I Plan Check Fee $ h3.3/ I Water Meter Size 5/8"; 1"; $
I State Surcharge $ 7.5"0 I Pressure Reducer $
I Penalty $ I City SAC and WAC # $ -
I Plumbing Permit Fee $ .t/tJ, {)O I Water Tower Fee # $ ~
I Mechanical Permit Fee $ '/0,0'0 j Builder's Deposit $
1 Sewer & Water Permit Fee $ - lather $
i Gas Fireplace Permit Fee $ 411,00 t..l,~~ I TOTALDUE $542. ()h
-a-/-/ rJ, ,d.2 ....J
This Application Becomes Your Building Permit When Approved I Paid ReceiPt No.'l./LlOb/ t5
~ ~ &d-8/0-3 I Date , J-II-fJ~ Bv ;p--
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
:7en/gned by the C,ty Plann" consOlUtes a temporary Certificate of Zonmg compliance and allp;o~mbc~ttd.cu~A.CY"6ZertLr~ he
_"-lC'T 1J1(lm~J l.r'\ ~rY)Lf- -l'...Rj:::.
Plannmg DIrector Date Special ConditIOns, If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
C'White - Buildiii!i:>
Canary - I:nglneering
Pink - Planning
Th". {"tnln of lh... L.kr ('oUnl!)
~UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
De fJ v i tV /Ve
3 -d--/-Q'2>
/(,'c;.soo/V
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5 3 ~~ -- f/s), Po ;',1/-1-
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~~ +~ Date: 3/~.r;t~
Comments: -M /2L.( ~J~ th-- d--J.
~ .~ ~ lEi.. .:.JlJ
~- ~~~~(Y. l?
./ / . ~ '..I.L/1 c::7
~.4.1-<. A.u-~r~/
~~~~.
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White - Building
~~:;'A"V - Enaineering
,..-- _R _ - DJann~
Tht('t'nltrof,htl..bCounlry
BUILDING peRMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r-\ /:-) ^,:. _< /1 l
,: Jc" ( ! ,..' I ,. / 1I ___
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1\ I '.:.'1
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./
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~,:: ;- '! '/ f-
Accepted
Accepted With Corrections
,,/'
Denied
r '
I t-J TE::7LI 0 fL;
Date: 3/'S / /0 3
.
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1 iUrLU Oel'\ IrJ ANY' L,J~; (),.,u1L.....Jp...r ACe,
1/lE1tJ ~CA (3 tv\..;'"f'T6n Apr~ OrZ.f)fI0AtVCE:' I'~
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f')fZ..-D ~A--NC-c If:. ~OJecR,
<oJ
Reviewed By:
Comments:
/_1.> rJ ,"tv a
-ZON"~
'The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS f5~ P'.SH FllNT'E RD.
NATURE OF WORK lid:E.&i.o.lf.. fliJ "
USE OF BUILDING ~..
PERMIT NO. 0,3- 03 ~7 pATE ISSUED '3iZt!!/tJS.
CONTRACTOR ~Ni~ K~ p~"q-Z"4~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Dl:. _ __ . fMEh. Qf'
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE -I.OMJM&, l"MLOtJ..V
GAS LINE AIR TEST ).-Pt",!,I"..s J-(QJI.W
1_6\" II I
S'J.-
71 tlf)/ l'fl.
;J-6,-0l-{
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
BUILDING ~.
ELECTRICAL
PLUMBING
HEATING
-
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
~.
d!/~S
r-{// WI'i S
cHf616:5
BEEN SIGNED
~
~
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
/53J?1to
DATE TIME
SCHEDULED .:d 10/0 s 9,' tJcJ
~~b.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D3-0"58'1
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~ FINAL III PLUMBING FINAL
o SITE INSPECTION fJ MECH FINAL
COMMENTS: ~.In~ ..e.l ; 2J
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
~~~
'-"
Jd WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ , Owner/Contr:
/ .
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTI